Annals of Internal Medicine: Clinical Cases · Published 2026-07-01 · DOI 10.7326/aimcc.2025.0824
Terrence Sanvictores, Johnson Ukken
The reactivation of latent varicella-zoster virus within infected neurons can lead to common clinical manifestations, including rash, acute neuritis, post-herpetic neuralgia, herpes zoster ophthalmicus, and Ramsay–Hunt syndrome. Segmental zoster paresis is an unusual neurologic complication of shingles that is defined by focal asymmetric motor weakness in the myotome corresponding to skin lesions of the dermatome. This case is a presentation of a patient who developed chronic hypoxia and severe atelectasis attributed to right-sided phrenic nerve paralysis secondary to herpes zoster infection.
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Sanvictores, T., Ukken, J. (2026). Hemidiaphragmatic Segmental Zoster Paresis. Annals of Internal Medicine: Clinical Cases. https://doi.org/10.7326/aimcc.2025.0824